Application of multidisciplinary network management oriented by nurse specialists in peritoneal dialysis patients
10.3760/cma.j.issn.1674-2907.2020.04.018
- VernacularTitle:以专科护士为主导的多学科网络管理在腹膜透析患者中的应用
- Author:
Suge TIAN
1
;
Jianping DING
;
Yanping ZHENG
;
Yue GU
;
Lijun HE
Author Information
1. 河南省人民医院/郑州大学人民医院肾内科
- Keywords:
Peritoneal dialysis;
Multidisciplinary collaboration;
Network management;
Specialist nurse;
Malnutrition;
Peritonitis
- From:
Chinese Journal of Modern Nursing
2020;26(4):518-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of multidisciplinary network management oriented by nurse specialists on nutritional status and peritonitis in peritoneal dialysis(PD)patients. Methods From February to August 2018,a total of 78 PD patients with regular visit in Department of Nephrology of Henan Province People's Hospital were selected as subjects by convenience sampling. All of patients were divided into control group and observation group with the method of random number table,36 cases in each group. Control group carried out the routine PD management model,while observation group implemented the multidisciplinary network management oriented by PD nurse specialists for 6 months. We compared the nutritional indicators[Modified Subjective Global Assessment(SGA),hemoglobin,albumin and phosphate] and incidence of peritonitis of patients between two groups. Results After intervention,the score of modified SGA and phosphate of observation group were lower than those of control group;the hemoglobin and albumin of observation group were higher than those of control group with statistical differences(P<0.05). In observation group,the score of modified SGA and phosphate after intervention were lower than those before intervention;the hemoglobin and albumin after intervention were higher than those before intervention with statistical differences (P< 0.05). The incidence of peritonitis of observation group was 0.02(4/216)times a patient·month within 6 months during observation period lower than that[0.06(12/216)times a patient·month]of control group with a statistical difference(χ2=4.154,P< 0.05). Conclusions Multidisciplinary network management model oriented by PD nurse specialists can effectively improve PD patients' nutritional status,incidence of peritonitis which provides a new thinking for clinical management for PD patients.
